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Health Insurance Plans

Updated: October 12, 2009

All of the full-time faculty physicians of Washington University School of Medicine participate in the health insurance plans listed below. However, it is best for you to check your own specific plan before you make an appointment.

  • Some plans exclude mental health services. These are marked with a red asterisk *
  • Some plans are for mental health treatment only. They are listed at the bottom of this page.

    Other out-of-network insurance plans may be accepted.

    Insurance plans and plan networks change very frequently, so please verify before your appointment.
  • Click on a letter below to go to the beginning of that listing:
    A - B - C - D - E - F - G - H - I - K - L - M - N - O - P - Q - R - S - T - U - V - W - Z

    Admar (now MultiPlan)
    Advantra, Group Health Plan
    Aetna, Choice POS
    Aetna, Choice POS (Open Access)
    Aetna, Choice POS II
    Aetna, Choice POS II (Open Access)
    Aetna, Elect Choice EPO
    Aetna, Health Fund
    Aetna, Managed Choice (POS)
    Aetna, Open Access Elect Choice
    Aetna, Open Access HMO
    Aetna, Open Access Managed Choice
    Aetna, Open Access Select
    Aetna, Open Choice (PPO)
    Aetna, Quality Point of Service
    Aetna, Select
    Aetna, National Advantage Program (NAP)
    Aetna, USAccess
    Aetna, Worker's Compensation Access

    BCE Emergis (now MultiPlan)
    BJC Employee Discount Plan (Eye care)
    Barnes Care MCO (Workers Compensation)
    Baxter Regional PHO
    Beech Street, Capp Care
    Best Doctors, Inc,
    Blue Cross Blue Shield Missouri, BlueCard
    Blue Cross Blue Shield Missouri, Alliance
    Blue Cross Blue Shield Missouri, Alliance Choice
    Blue Cross Blue Shield Missouri, Regular or Traditional

    Capital Region Medical Center Employee Healthcare Plan
    Cigna Healthcare EPO (St Louis Metro Network)*
    Cigna Healthcare HMO* (St Louis Metro Network)*
    Cigna Healthcare HMO Open Access (St Louis Metro Network)*
    Cigna Healthcare Indemnity (St Louis Metro Network)*
    Cigna Healthcare Network Open Access (St Louis Metro Network)*
    Cigna Healthcare Open Access Plus (St Louis Metro Network)*
    Cigna Healthcare POS (St Louis Metro Network)*
    Cigna Healthcare POS Open Access (St Louis Metro Network)*
    Cigna Healthcare PPO (St Louis Metro Network)*
    Cigna Healthcare PPO Plus (St Louis Metro Network)*
    Community Partners Health Plan (Illinois)
    Comp Results PPO, Workers Compensation
    Corvel PPO
    Coventry Health Care National Network PPO
    CoxHealth Network

    Decatur Memorial Hospital
    EyeMed (GHP members only) - formerly Cole Vision
    First Health

    Great West Healthcare HMO
    Great West Healthcare Open Access
    Great West Healthcare POS
    Great West Healthcare PPO
    Group Health Plan Advantra *
    Group Health Plan Care Management Resources (CMR)*
    Group Health Plan HMO and POS - Access and Access Plus *
    Group Health Plan Open Access HMO and POS - Sensicare and Sensicare Plus *
    Group Health Plan PPO*
    Group Health Plan Personal Care Health Management HMO *
    Group Health Plan Personal Care Health Management POS *
    Group Health Plan Personal Care Health Management PPO *

    HFN Inc
    Hannibal Regional PHO
    Health Alliance HMO
    Health Alliance PPO
    HealthCare USA MC+ *
    HealthLink CompManagement
    HealthLink HMO
    HealthLink Open Access
    HealthLink POS
    HealthLink PPO
    Humana ChoiceCare PPO

    Mail Handlers (First Health Administers) @ www.mhbp.com
    Mercy Health Plan HMO
    Mercy Health Plans POS
    Mercy Health Plans PPO
    Molina Healthcare MC+
    MultiPlan

    PPONext
    Personal Care Health Management HMO, Group Health Plan*
    Personal Care Health Management POS, Group Health Plan*
    Personal Care Health Management PPO, Group Health Plan*
    Phelps County Regional Medical Center Employee HealthCare Plan
    Private Health Care Systems PPO
    ProAmerica (now MultiPlan)

    Quincy Health Care Management
    Quality Health Management
    Quality Health Management PPO
    RiverQuest POS (accepted until 12/31/09)
    RiverQuest PPO (accepted until 12/31/09)
    St. Johns Health System HMO (through Mercy Health Plan)
    St. Johns Health System PPO
    TriCare Extra
    TriCare Prime
    TriWest Extra
    TriWest Prime

    USA Managed Care Organization *
    Unicare - Unicare Platinum OA III
    Unicare - Unicare Platinum PPO Classic
    Union Pacific Railroad Employee Health System *
    United HealthCare Choice *
    United HealthCare Choice Plus*
    United HealthCare EPO *
    United HealthCare Options PPO *
    United HealthCare POS *
    United HealthCare Select*
    United HealthCare Select Plus*
    United HealthCare Vision Service Plan (VSP)*
    United Payors and United Providers (now MultiPlan)
    VSP Cigna Vision Network
    Washington University Student Health Services

    MENTAL HEALTH ONLY

    Some plans are for mental health treatment only. They are:

    MH Net
    United Behavioral Health, Inc
    Unity Managed Mental Health

    OTHER PAYORS

    Medicare

    You can receive all of your health care from a Washington University Physician if your primary insurance is Medicare, since our physicians accept Medicare assignment. Most supplemental plans will allow you to receive all of your care from a Washington University Physician. Please note, if you receive Medicare coverage through an HMO, you will need to check to make certain that Washington University Physicians participates in your plan and that you follow all the requirements for referrals.

    Missouri or Illinois State Medicaid

    You can receive all of your health care from one of our Washington University Physicians if you are covered by Missouri or Illinois State Medicaid. Patients covered by Medicaid from other states may also be covered in some circumstances. Please check with your state plan and verify that the Washington University physicians selected is a plan participant.

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    Copyright 2009 Washington University School of Medicine
    Copyright 2009 Washington University School of Medicine